CN102245087A - Electronic blood pressure monitor - Google Patents
Electronic blood pressure monitor Download PDFInfo
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- CN102245087A CN102245087A CN2009801492617A CN200980149261A CN102245087A CN 102245087 A CN102245087 A CN 102245087A CN 2009801492617 A CN2009801492617 A CN 2009801492617A CN 200980149261 A CN200980149261 A CN 200980149261A CN 102245087 A CN102245087 A CN 102245087A
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- time
- bit position
- suitable scope
- determination
- measurement result
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/02—Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
- A61B5/021—Measuring pressure in heart or blood vessels
- A61B5/022—Measuring pressure in heart or blood vessels by applying pressure to close blood vessels, e.g. against the skin; Ophthalmodynamometers
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/02—Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
- A61B5/024—Detecting, measuring or recording pulse rate or heart rate
- A61B5/0245—Detecting, measuring or recording pulse rate or heart rate by using sensing means generating electric signals, i.e. ECG signals
- A61B5/025—Detecting, measuring or recording pulse rate or heart rate by using sensing means generating electric signals, i.e. ECG signals within occluders, e.g. responsive to Korotkoff sounds
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/06—Devices, other than using radiation, for detecting or locating foreign bodies ; determining position of probes within or on the body of the patient
- A61B5/061—Determining position of a probe within the body employing means separate from the probe, e.g. sensing internal probe position employing impedance electrodes on the surface of the body
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/06—Devices, other than using radiation, for detecting or locating foreign bodies ; determining position of probes within or on the body of the patient
- A61B5/065—Determining position of the probe employing exclusively positioning means located on or in the probe, e.g. using position sensors arranged on the probe
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
- A61B5/6801—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be attached to or worn on the body surface
- A61B5/684—Indicating the position of the sensor on the body
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/70—Means for positioning the patient in relation to the detecting, measuring or recording means
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B2560/00—Constructional details of operational features of apparatus; Accessories for medical measuring apparatus
- A61B2560/02—Operational features
- A61B2560/0242—Operational features adapted to measure environmental factors, e.g. temperature, pollution
- A61B2560/0247—Operational features adapted to measure environmental factors, e.g. temperature, pollution for compensation or correction of the measured physiological value
- A61B2560/0261—Operational features adapted to measure environmental factors, e.g. temperature, pollution for compensation or correction of the measured physiological value using hydrostatic pressure
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/02—Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
- A61B5/021—Measuring pressure in heart or blood vessels
- A61B5/022—Measuring pressure in heart or blood vessels by applying pressure to close blood vessels, e.g. against the skin; Ophthalmodynamometers
- A61B5/02225—Measuring pressure in heart or blood vessels by applying pressure to close blood vessels, e.g. against the skin; Ophthalmodynamometers using the oscillometric method
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
- A61B5/6801—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be attached to or worn on the body surface
- A61B5/6813—Specially adapted to be attached to a specific body part
- A61B5/6824—Arm or wrist
Abstract
An electronic blood pressure monitor determines whether the position of a measurement area is within an appropriate range or not (step (S10)), and provides notification of whether the position of the measurement area is within the appropriate range or not (steps (S12, S24)). In the case where the time when the position of the measurement area is within the appropriate range is determined to be a predetermined time (for instance, 2 seconds) or more, blood pressure measurement is automatically started (steps (S14, S16). In the case where the time when the position of the measurement area is out of the appropriate range is a predetermined time (for instance, 5 seconds) or more, blood pressure measurement is started (steps (S26, S30)). Furthermore, notification of whether the position of the measurement area was within the appropriate range or not is provided relating to the measurement results (steps (S22, S36).
Description
Technical field
The present invention relates to electric sphygmomanometer, whether the determination part bit position that particularly can judge blood pressure wrist formula electric sphygmomanometer in suitable scope.
Background technology
Usually, sphygomanometer is measured under the corresponding to state of height of the determination part bit position of blood pressure and heart, can access correct pressure value with this.Its reason is, because the weight of blood self, pressure value uprises under the situation about measuring at the mensuration position that is lower than cardiac position, pressure value step-down under the situation about measuring at the mensuration position that is higher than cardiac position.
Therefore, disclose shown in No. 2002/039893 pamphlet (patent documentation 1) as the world, have wrist formula sphygomanometer, this wrist formula sphygomanometer has angle detecting unit (angular transducer), and judge and notice whether measure posture appropriate.In these sphygomanometers in the past, only the pressure reference position of sphygomanometer with the suitable scope of the roughly the same height of heart in situation under begin to measure.Following content is disclosed: in this sphygomanometer, for example be provided with the angle detecting sensor of twin shaft of the angle of the pitch orientation that is used to detect forearm and rotating direction, and calculate the difference in height between the position of determination part bit position and heart based on the detected value of the angle of both direction.
The prior art document
Patent documentation
Patent documentation 1: the international pamphlet that discloses No. 2002/039893.
Summary of the invention
The problem that invention will solve
As in the above-mentioned technology in the past, only under the situation of determination part bit position in suitable scope, begin to measure.Therefore, if be difficult to because of the feature (for example, being difficult to lift wrist etc.) of health the determination part bit position is adjusted at user (determined people) in the suitable scope, the unfavorable condition that always all can not measure can take place then.
Perhaps, also having does not have (lacking) use experience after just buying, and does not see the user of operation instructions etc.If such user is arranged, then to consider can not discover the situation that then the determination part bit position will be put into suitable scope in order to begin to measure.Therefore beginning of might looking on the bright side of things is measured, and how long can not begin to measure and does not feel well but crossed.
The present invention makes in order to address the above problem, and its purpose is, provides a kind of and has when being used for that the determination part bit position is directed to angular transducer in the suitable scope, can improve the electric sphygmomanometer of availability (usability).
The means that are used to deal with problems
The electric sphygmomanometer of an aspect of this invention has: cuff, and it is used to be wound on the mensuration position of regulation; Pressure transducer, it is used to detect the cuff pressure signal of the pressure in the expression cuff; Angular transducer, it is used to detect the angle of cuff with respect to the reference direction of regulation; Location determination portion, it is according to from the output information of angular transducer, judges that the determination part bit position is whether in suitable scope; Notice portion, whether it is used to notify the determination part bit position in suitable scope; The time detection unit, it is used to judge the very first time whether more than first fiducial time, the very first time is represented the time of determination part bit position in suitable scope; And the mensuration control part, it is used to carry out following control: will be judged to be the very first time more than first fiducial time as first opportunity, press signal to come blood pressure is measured according to cuff.The time detection unit further judged for second time whether more than second fiducial time longer than first fiducial time, and the second time representation determination part bit position is in the suitable extraneous time.Mensuration control part second time that will be judged to be began to measure as second opportunity more than second fiducial time.When the measurement result of control part was measured in output, whether notice portion is further corresponding with measurement result notified the determination part bit position in suitable scope relatedly.
Preferably, when variation had taken place the result of determination of position detection unit, the time detection unit was to just the time in timing is carried out initialization.
Preferably, also have storage part, this storage part is used for whether the location identification data in suitable scope and measurement result are set up corresponding relation and stored with expression determination part bit position.
Preferably, storage part with measurement result and location identification data and the personal identification data (PID) that is used to discern person to be measured set up corresponding relation and store.
Preferably, the time detection unit is further measured from the user and has been imported the elapsed time of the indication of measuring beginning whether more than three fiducial time longer than second fiducial time; Measuring control part further will be judged to be the elapsed time and begin to measure as the 3rd opportunity more than the 3rd fiducial time.
Preferably, notice portion comprises illuminating part, and this illuminating part is used to send the light of first and second color; Electric sphygmomanometer also has notifier processes portion, whether this notifier processes portion is in order to notify the determination part bit position in suitable scope, under the situation of determination part bit position in suitable scope, make illuminating part send the light of first color, under suitable extraneous situation, make illuminating part send the light of second color at the determination part bit position.
Perhaps, notice portion comprises display part, and this display part is used to show measurement result; Electric sphygmomanometer also has notifier processes portion, and whether this notifier processes portion in order to notify the determination part bit position in suitable scope, with expression determination part bit position whether the information in suitable scope be presented on the display part.
The invention effect
If adopt the present invention, then samely, can notify determined people's determination part bit position whether in suitable scope, and can under the situation in the determination part bit position maintains suitable scope, automatically begin mensuration.
Further,, then maintain under the suitable extraneous situation, also can automatically begin to measure at the determination part bit position if adopt the present invention.Thus, can improve availability.
In addition, if adopt the present invention, then when the output measurement result, whether the corresponding determination part bit position of notifying with measurement result in suitable scope relatedly.Thereby determined people can judge easily that the measurement result of exporting is the measurement result based on appropriate mensuration posture.
Description of drawings
Fig. 1 is the stereoscopic figure of the sphygomanometer of embodiment of the present invention.
Fig. 2 is the block diagram of hardware configuration of the sphygomanometer of expression embodiment of the present invention.
Fig. 3 shows the FBD of functional structure of the sphygomanometer of embodiment of the present invention.
(A) of Fig. 4, (B) part is the figure that is used to illustrate the suitable scope of determination part bit position.
(A) of Fig. 5, (B) part show the figure that measures the preceding notice example of beginning.
Fig. 6 shows the flow chart that the performed blood pressure determination of the sphygomanometer of embodiment of the present invention is handled.
Fig. 7 shows the figure of demonstration example of the measurement result of embodiment of the present invention.
Fig. 8 shows the figure of data structure example of the measurement result information of embodiment of the present invention.
Fig. 9 shows the flow chart of the mensuration record display process of embodiment of the present invention.
The specific embodiment
With reference to accompanying drawing, embodiment of the present invention is described in detail.Wherein, part identical among the figure or that be equal to is put on same reference numerals, it is not carried out repeat specification.
First embodiment
<about outward appearance and structure 〉
At first, outward appearance and the structure to the electric sphygmomanometer (following title " sphygomanometer ") of embodiment of the present invention describes.
(about outward appearance)
Fig. 1 is the stereoscopic figure of the sphygomanometer 1 of embodiment of the present invention.
With reference to Fig. 1, sphygomanometer 1 has: main part 10; Cuff 20, it can be wound on determined people's the wrist.Main part 10 is installed on the cuff 20.On the surface of main part 10, dispose: display part 40, it is for example by LCD (Liquid Crystal Display: liquid crystal display) constitute; Operating portion 41, it receives the indication from user's (representational is determined people).Operating portion 41 for example comprises a plurality of switches.
(about hardware configuration)
Fig. 2 is the block diagram of hardware configuration of the sphygomanometer 1 of expression embodiment of the present invention.
With reference to Fig. 2, the cuff 20 of sphygomanometer 1 comprises air bag 21.Air bag 21 is connected with air system 30 via air hose 31.
With above-mentioned air system 30 explicitly, main part 10 also comprises oscillating circuit 33, pump drive circuit 53, valve-driving circuit 54.
Data input and output portion 46 is used for carrying out reading or writing of program or data with for example detachable storage medium 132.And/or data input and output portion 46 also can be via communication line carries out the transmitting-receiving of program or data with the computer of not shown outside.
A/D converter 61 receives from the signal of two acceleration of gravity pick offs, 601,602 inputs, and conversion of signals becomes digital signal separately.Then, the digital signal after the conversion is sent to CPU100 independently.Thus, CPU100 can calculate as departing from amplitude (representational is difference in height) between the wrist of measuring the position and the imaginary cardiac position.
In addition, angular transducer 60 is not limited to the angular transducer of twin shaft, also can be single shaft or three angular transducer.Perhaps, as the record of patent documentation 1, angular transducer not only can be located in the main part 10, also can be located on the upper arm in addition.
Illuminating part 63 is for example by two LED that send blue and red light respectively (Light Emitting Diode: light emitting diode) constitute.In addition, as long as can send the light of at least two kinds of colors, also can also constitute by the light source (for example electric filament lamp and discharge lamp) of other kinds by a LED structure.In addition, so long as the color that can contrast gets final product, the light that sends is not limited to blueness and redness.
As shown in Figure 1, the sphygomanometer 1 of present embodiment is that main part 10 is installed in the mode on the cuff 20, but also can be as the mode that the mode that adopts in the last arm-type sphygomanometer isolating main part 10 and cuff 20 usefulness air hoses (air hose 31 in Fig. 2) is linked together.In this case, angular transducer 60 can be located on the assigned position on the cuff 20, and is not installed on the main part 10.
In addition, adopted on the cuff 20 to comprise the mode of air bag 21, but the fluid that supplies in the cuff 20 being not limited to air, also can be for example liquid or gelinite.Perhaps, being not limited to fluid, also can be the uniform microgranule of microballon (micro beads) etc.
In addition, in the present embodiment, the mensuration position of regulation is a wrist, but is not to limit.
(about functional structure)
Fig. 3 shows the FBD of functional structure of the sphygomanometer 1 of embodiment of the present invention.
With reference to Fig. 3,, have location determination portion 102, notifier processes portion 104, time detection unit 106, measure control part 108 and output control part 110 as the function of CPU100.In addition, in Fig. 3,, only show the hardware on every side of direct receiving and transmitting signal between each function portion of CPU100 in order to illustrate simply.
(A) of Fig. 4, (B) part is the figure that is used to illustrate the suitable scope of determination part bit position.(A) part of Fig. 4 shows the sketch map of an example of the posture under the situation of determination part bit position in suitable scope, and (B) part of Fig. 4 then is the sketch map of an example of the posture of determination part bit position under suitable extraneous situation.
With reference to Fig. 4 (A) partly, (B) part, the difference in height between the reference position (determination part bit position) of the regulation of determined people's 300 (imaginary) cardiac position 301 and sphygomanometer 1 is expressed as " departing from amplitude, ao H ".If suitable scope is less than the Δ of the setting up and down Z that is benchmark with dirty position 301.As long as depart from amplitude, ao H less than setting Δ Z, then be judged to be location determination portion 102 in suitable scope.With respect to this,, then be judged to be outside the suitable scope as long as depart from amplitude, ao H more than setting Δ Z.
Disclose No. 2002/039893 pamphlet (patent documentation 1) similarly with the above-mentioned world, depart from the calculating of amplitude, ao H and can followingly carry out.That is, at first, location determination portion 102 based on two detection signals from A/D converter 61 input calculate wrist towards the angle of pitch orientation and the angle of rotating direction.Then, the calculating formula that the angle that calculates is applied to stipulate is calculated difference in height (promptly departing from amplitude, ao H) between the reference position of cardiac position and sphygomanometer 1 with this.For example, the reference position of sphygomanometer 1 represents that the center of measuring the position pays near position, but so long as paying of the position of detected pressures (the existing position of the tremulous pulse of object) closely gets final product, is not limited to these positions.Angular transducer 60 also can be located on this reference position.
In the present embodiment, calculate with the method for patent documentation 1 record and to depart from amplitude, ao H, but be not limited to these methods, also available known method realizes.
In addition, in the present embodiment, temporarily convert two acceleration of gravity pick offs, 601,602 two detected angles to height (difference in height), with this position of judging wrist whether in suitable scope.Yet, and the nonessential height that converts to.Also can be by judging two angles respectively whether in prescribed limit, whether the position of judging wrist is in suitable scope.
Notifier processes portion 104 is in order to guide the mensuration posture for the recommendation shown in Fig. 4 (A) part, and whether the position of notice wrist (mensuration position) is in suitable scope.In the following description, the situation of position in suitable scope of " correct set (OK) " expression wrist, " poor form (NG) " represents that then the position of wrist is in suitable extraneous situation.
Notifier processes portion 104 is connected with illuminating part 63.Notifier processes portion 104 makes illuminating part 63 send blue light under the situation of correct set, sends red light at the next illuminating part 63 that makes of the situation of poor form.
(A) of figure partly, (B) part shows the figure that measures the notice example before the beginning.Figure (A) part shows the notice example under the situation of correct set, and (B) part of Fig. 5 then shows the notice example under the situation of poor form.
Illuminating part 63 is configured on the position of regulation on surface (surface of display part 40 is set) of main part 10.And the color of illuminating part 63 changes according to the position of wrist, and whether appropriate so determined people can grasp intuitively if measuring posture (position of wrist).
Notifier processes portion 104 and then when showing measurement result, whether the position of the wrist when also notice is measured beginning is in suitable scope.That is, when show measuring beginning, during the measurement result of the situation of correct set, make illuminating part 63 send blue light.When show measuring beginning, during the measurement result of the situation of poor form, make illuminating part 63 send red light.Whether thus, notify measurement results such as determined people or doctor is result with appropriate position measuring.
In addition,, not only can notify, also can utilize with identical in the past buzzer 62 and notify according to illuminating part 63 for the whether appropriate information of measuring before the beginning of mensuration posture.
The color of the light that sends under the situation of poor form is not limited to redness, also can be orange, yellow etc.By adopting these colors, the user can discover easily and be called attention to intuitively.In addition, the color of the light that sends under the situation of correct set also can be for example green except blueness, white etc.By adopting these colors, the user can discover easily and be called attention to intuitively.
Wherein, illuminating part 63 sends the light of two kinds of colors in the present embodiment, but also can send a kind of light of color.In this case, also can adopt under the situation of correct set luminous, in the next non-luminous mode of the situation of poor form.
In addition, be used for time T B that the time of poor form is judged, preferably use than the longer time of time T A that is used for the time of correct set is judged.
In addition, in the present embodiment, continue the time of the state of correct set, be used to promptly to judge that be the predefined time fiducial time (time T A, TB) of the time of the state that continues poor form.Yet, be not to limit, also can set respectively and change at each user.
In addition, in the present embodiment, current date, time, second number based on timing portion 45 obtains come the time of correct set and the time of poor form are carried out timing.Yet, can carry out timing to the time of correct set and the time of poor form with a timer.Perhaps, also can calculate the time separately with two timers.
Ground same, after inputing to of indication that the mensuration from the user begins measured control part 108, measure control part 108 be judged to be with time detection unit 106 correct set time remaining more than the time T A as opportunity, begin to measure.Further, in the present embodiment, measure control part 108 be judged to be at time detection unit 106 poor form time remaining under the situation more than the time T B, also begin to measure.
In addition, the indication that begins from user's mensuration does not rely on the title (measuring switch, on and off switch etc.) of the button of operating portion 41.That is, utilizing on and off switch (not shown) to measure under the situation of action of starting, being judged as pressing of on and off switch is the indication of measuring beginning.
Finish if measure, then output control part 110 is presented at measured value (that is, maximal blood pressure, minimal blood pressure and arteries and veins umber of beats) on the display part 40 as measurement result.Also measurement result can be exported not shown printer etc., to replace/to append the demonstration of measurement result.
In addition, output control part 110 stores in the flash memories 43 after the location identification data in suitable scope is set up corresponding relation with measurement result and expression determination part bit position.
In addition, utilizing ID switch 41C to determine under determined people's the situation, also with measured value and location identification data and the personal identification data (PID) that is used to discern determined people set up corresponding relation and store.
In addition, the action of each above-mentioned functional device both can realize by the software that execution is stored in the storage part 42, also can with hardware realize these functional devices at least one functional device.
<about action 〉
(blood pressure determination processing)
Fig. 6 shows the flow chart that the performed blood pressure determination of sphygomanometer 1 of embodiment of the present invention is handled.Processing shown in the flow chart of Fig. 6 is stored in the storage part 42 with the form of program in advance, and reads this program and execution by CPU100, realizes the function that blood pressure determination is handled with this.
In addition, suppose and utilize ID switch 41C to determine determined people in advance.
With reference to Fig. 6, be switched on (ON) if measure switch 41A, then begin to import the action of power supply.At first, the demonstration of display part 40 is all lighted (step S2).Then, the demonstration of display part 40 is all extinguished (step S4), be in the state that to confirm Presentation Function with this.
Then, CPU100 finish the zeroing be initial reset (step S6).Particularly, for example, initialization is carried out in the zone of the regulation of storage part 42, the air of discharged air bag 21, and pressure transducer 32 is carried out 0mmHg proofread and correct.In addition, the time by 106 timing of time detection unit is resetted.Further, the value that will be used to bring into play the posture sign of above-mentioned location identification data function is set at " 0 " (suitable scope is outer).
If finish zeroing, then begin to detect height (step S8) as the wrist of measuring the position.
For detecting to the height of wrist, at first, location determination portion 102 is based on the angle information with the acceleration of gravity pick off 602 detected forearms of the acceleration of gravity pick off 601 of pitch orientation and rotating direction, calculates to depart from amplitude (difference in height) Δ H between determination part bit position (reference position of sphygomanometer 1) and the imaginary cardiac position.
Then, location determination portion 102 judges that the height of wrists is whether in suitable scope (step S10).That is partly, shown in (B) part, judge and depart from amplitude, ao H whether below setting Δ Z, as Fig. 4 (A).
If be judged as the height ("Yes" of step S10) in suitable scope of wrist, then location determination portion 102 is made as " 1 " (in suitable scope) with the value of posture sign, enters step S12.
If the height that is judged as wrist is ("No" of step S10) under the situation in suitable scope not, then, enter step S24 with remain " 0 " of the value of posture sign.
In step S12, because the value of posture sign is 1 (correct set), so shown in (A) part of Fig. 5, notifier processes portion 104 makes illuminating part 63 send blue light.
Then, because the value of posture sign is 1,, and whether judge that continuous two seconds kinds judge whether in suitable scope (step S14) so time detection unit 106 is judged as the correct set pattern.The location determination of location determination portion 102 is handled (departing from the calculating of amplitude, ao H) and is carried out on the backstage concurrently with this determination processing.
The user indicate measure beginning after, at once with the beginning of the location determination (step S8) of location determination portion 102 as opportunity, come the persistent period in the suitable scope is carried out timing.Behind the time of poor form instrumentation (step S26 described later), will become correct set (variation of the value of sign) with poor form and carry out timing as opportunity.
In addition, in the present embodiment, carry out location determination in response to pressing mensuration switch 41A.Therefore, in the present embodiment, the situation of the beginning of location determination being carried out the time timing of correct set or poor form as opportunity is described.Yet, essence, the time timing of time detection unit 106 is that the indication that the mensuration that will have from the user begins is carried out as opportunity.
In above-mentioned step S14, not in suitable scope, can also judge whether moving of wrist stops whether judging only.This judgement for example can enough Δ H variable quantity whether realize with interior at setting.
Be judged to be ("Yes" of step S14) under the situation of continuous two seconds in suitable scope, measuring control part 108 driving pumps 51, and beginning mensuration (step S16).Measure control part 108 and measure (calculating) maximal blood pressure, minimal blood pressure and arteries and veins umber of beats according to known method.
If there are not continuous two seconds ("No" of step S14) in suitable scope, then utilize location determination portion 102 to change the value of posture sign into " 0 " from " 1 ".Thereby time detection unit 106 is judged as from the correct set pattern and becomes the poor form pattern, and timing time so far is resetted.Then, enter step S24 described later.
If be judged to be the mensuration end (step S18) that the correct set pattern is measured control part 108 afterwards, then output control part 110 is presented at (step S20) on the display part 40 with measurement result.At this moment, notifier processes portion 104 makes the blue light of illuminating part 63 flickers.Like this, notifying user's (representational is determined people) is the result with appropriate mensuration position measuring.
Then, output control part 110 is set up the value (=1) of determined people's personal identification data (PID), measurement result (maximal blood pressure, minimal blood pressure and arteries and veins umber of beats), mensuration date and time and posture sign corresponding relation and is stored (step S22) in the flash memories 43 into.If the processing of step S22 finishes, then tenth skill.
In step S24, because the value of posture sign is 0 (poor form), so shown in (B) part of Fig. 5, notifier processes portion 104 makes the light of 63 shiny reds of illuminating part.
Because the value of posture sign is 0, so time detection unit 106 is judged as the poor form pattern, and judges whether continuous five seconds (step S26) outside suitable scope.In this case, the location determination of location determination portion 102 processing (departing from the calculating of amplitude, ao H) is also carried out on the backstage concurrently with this determination processing.
The timing of suitable extraneous persistent period can be with identical with the content of step S14 explanation.If the time of instrumentation correct set (step S14) afterwards, then will become poor form (variation of the value of sign) and carry out timing as opportunity from correct set.
Here, also with step S14 similarly, whether just do not judge and in suitable scope, can also judge whether wrist stops suitable extraneous moving.Judge by carrying out these, can judge more fully whether determined people has the wish of mensuration.
Being judged to be continuous five seconds ("Yes" of step S26) under suitable extraneous situation, enter step S30.
In step S26, be judged as ("No" of step S26) under the situation of highly not keeping five seconds, enter step S28.
In step S28, after beginning, height detection (that is, measures after the indication of beginning), and time detection unit 106 judges for example whether passed through for 15 seconds.With time timing among step S14 and the S26 mutually independently, begin the timing of the laggard time of passing through in height detection.This time also can calculate based on the output that comes self clock portion 45, and timer can also be set in addition.
If passed through 15 seconds ("Yes" of step S28), then be the situation that any state in correct set and poor form is not kept the stipulated time yet (two seconds, five seconds).In this case, also as poor form, and enter step S30.By such processing, prevented to pass through how long also do not begin the problem measured.
If, then utilize location determination portion 102 to change the value of posture sign into " 1 " from " 0 " not through 15 seconds ("No" of step S28).Thereby time detection unit 106 is judged as from the poor form pattern and has become the correct set pattern, and timing time so far is resetted.Then, return step S10.
In step S30, with above-mentioned steps S16 similarly, measure control part 108 driving pumps 51, begin to measure.Measure control part 108 and measure (calculating) maximal blood pressure, minimal blood pressure and arteries and veins umber of beats according to known method.
If be judged to be the mensuration end (step S32) that the poor form pattern is measured control part 108 afterwards, then output control part 110 is presented at (step S34) on the display part 40 with measurement result.At this moment, notifier processes portion 104 makes the light of illuminating part 63 flash red.Like this, by the LED of a shiny red, notifying user's (representational is determined people) is the result who measures under the mensuration posture of not recommending.
Then, output control part 110 is set up the value (=0) of determined people's personal identification data (PID), measurement result (maximal blood pressure, minimal blood pressure and arteries and veins umber of beats), mensuration date and time and posture sign corresponding relation and is stored (step S36) in the flash memories 43 into.If the processing of step S36 finishes, then tenth skill.
As above-mentioned, whether appropriate ground same, sphygomanometer 1 have notice user's posture function.Because, wish to measure with appropriate mensuration posture (position of wrist is in suitable scope) in order to obtain high-precision measurement result.
In addition, ground same, the state as if the correct set shown in (A) part that detects continuous two seconds such as Fig. 4 then begins to measure automatically.Thus, can with the high measurement result of reliability that in the past obtained in the same manner based on appropriate mensuration posture.
In addition, if adopt present embodiment, then when variation has taken place the result of determination of position detection unit 102, the timing time of time detection unit 106 is resetted.Then, even outside suitable scope, if the continuous five seconds of wrist on this position, also begins to measure.Even on the position of not recommending (suitable extraneous position) shown in (B) part of Fig. 4,, illustrate that then determined people is waiting the probability height of beginning to be determined if the continuous five seconds in position of wrist maintains on such position.In the present embodiment, also begin in these cases to measure, improve availability with this.
That is, can reduce the inconvenience that wrist can not be moved to the user in the suitable scope.In addition, how long that can reduce some users does not begin to measure the sense of discomfort that causes because of having crossed yet, and these users are meant that the user who does not see operation instructions etc. waits the user who does not understand correct mensuration posture.
In addition, can use the sphygomanometer 1 of present embodiment by a plurality of users.Even the people etc. who understands people, the uncomprehending people of appropriate mensuration posture and can not take appropriate mensuration posture under the situation of using a sphygomanometer 1, also can begin to measure to be suitable for each state of user.
Further, if adopt present embodiment, then when showing measurement result, whether further corresponding with the measurement result determination part bit position of notifying in suitable scope relatedly.Thereby, can notify whether the measurement result in the demonstrations such as user or doctor is the high value of reliability.Thus, the diagnosis after the doctor is worked.
In addition, even do not see the user of operation instructions etc., also can discover the mensuration fault that oneself, and can discern correct status.That is, these notices wait and to make the user have recognized the need to heavily see that operation instructions wait makes correct mensuration posture.Its result even do not understand the user of appropriate mensuration posture, also can measure with appropriate mensuration posture (height identical with the height of heart) later on.
In addition, in the present embodiment, notify whether in suitable scope according to the blueness that can contrast and red two kinds of colors.The user can discern the change color (redness → blueness) that causes that moves because of wrist before measuring beginning.Thereby, compare with the notice of utilizing buzzer in the past, can make the user discern appropriate posture more intuitively.
(showing example)
Fig. 7 shows the figure of demonstration example of the measurement result of embodiment of the present invention.
With reference to Fig. 7,, then utilize output control part 110 on display part 40, to show maximal blood pressure (SYS), minimal blood pressure (DIA), arteries and veins umber of beats and mensuration date and time (step S20, S34) if determine blood pressure.In addition, can also show based on information 401 personal identification data (PID), that be used for determining determined people at display part 40.
In the present embodiment, when showing measurement result, also make illuminating part 63 send blueness or red light.Whether thus, notify the measurement result of user in showing is the high measurement result of reliability.
(data structure example)
Fig. 8 shows the figure of data structure example of the measurement result information of embodiment of the present invention.
With reference to Fig. 8, in flash memories 43, as measurement result information, with the record (record) form store a plurality of determination data M1~Mm (wherein, m=1,2,3 ...).
Each determination data comprise the personal identification data (PID) ID that is used to discern determined people (=A, B ...), the arteries and veins umber of beats data PLS of the minimal blood pressure data DBP of the maximal blood pressure data SBP of expression maximal blood pressure, expression minimal blood pressure, expression arteries and veins umber of beats, measure date and time data DT and posture mark P F (=1,0).
In addition, can when each mensuration, these each data be set up corresponding relation and store, be not limited to the file layout of service recorder.
(measuring the record display process)
As above-mentioned, store owing to when each mensuration, posture sign and measured value are set up corresponding relation, so when measuring and write down (before measured value) showing, whether the position that also can show wrist information in suitable scope.
Fig. 9 shows the flow chart of the mensuration record display process of embodiment of the present invention.Also be stored in the storage part 42 with the form of program in advance in the processing shown in the flow chart of Fig. 9, and read this program and execution, realize measuring the function of record display process with this by CPU100.
In addition, in this case, also supposition utilizes ID switch 41C to determine determined people in advance.
With reference to Fig. 9,, then begin to import the action of power supply if storage switch 41D is switched on (ON).At first, output control part 110 is read fixed determined people's nearest determination data (step S102).Particularly, in a plurality of determination datas in being stored in flash memories 43, search for corresponding related determination data with fixed determined people's personal identification data (PID).Then, from wherein reading the determination data of (up-to-date) recently.
Then, judge whether the value that is included in the posture sign in the determination data of reading is 0 (step S104).If the value of posture sign is 0 ("Yes" of step S104), when then making the light of 63 sapphirines of illuminating part, show measurement result (step S106).If the value of posture sign is not 0 ("No" of step S104), when then making the light of 63 shiny reds of illuminating part, show measurement result (step S108).
In step S106 and S108, also with example as shown in Figure 7 similarly, show and light illuminating part 63.
Then, output control part 110 judges whether the indication (step S110) of the demonstration of next data.If the indication ("Yes" of step S110) of demonstration is arranged, then returns step S102, and repeat above-mentioned processing.In addition, then read out in later the next new determination data of the determination data that shows among the step S102 for the second time.
On the other hand, if do not have the indication ("No" of step S110) of demonstration, then tenth skill.
Like this, during measurement result before showing, also each all whether appropriate according to the color notice mensuration posture of illuminating part 63.Thereby, measured the user who does not also know appropriately to measure later posture several times even have, also the difference that color can be in the process of seeing measurement result repeatedly in order, discovered, thereby the opportunity of understanding appropriate posture can be become.
<variation 〉
In the above-described embodiment, only during the height detection before mensuration and measurement result when showing, make illuminating part 63 light and/or glimmer, but also can in mensuration, detect the height of wrist, and utilize the color of illuminating part 63 to notify this result.
In the present embodiment, utilize position that illuminating part 63 notifies wrist whether in suitable scope, but be not to limit.For example, can on the zone of the regulation of display part 40, show " correct set " or " poor form ".Thus, can notify the user whether to be in appropriate mensuration posture more reliably.These notices are effective for the user that can not discern appropriate mensuration posture owing to do not read operation instructions.
Perhaps, in the present embodiment, be provided with and be exclusively used in the whether appropriate illuminating part 63 of notice posture, but be not to limit.For example, also the part of display part 40 integral body or display part 40 can be lit up as blueness or redness.
Perhaps, also can utilize buzzer 62 to notify posture whether appropriate, to replace/or the notice of appending illuminating part 63.In this case, the height or the power of the sound that also can send with buzzer 62 are distinguished.
Perhaps, also can notify posture whether appropriate according to the difference of vibration.In this case, sphygomanometer 1 can comprise the vibration efferent (not shown) of for example output vibration and the vibratory drive circuit (not shown) that is used to drive the vibration efferent, and the vibratory drive circuit then is connected with the notifier processes portion 104 of CPU100.
Whether appropriate the sphygomanometer 1 that present embodiment has been described have detect and notice when measuring posture function the design that also can measure under the situation of poor form.But sphygomanometer 1 also can have the pattern that only also can measure as in the past under the pattern that can measure under the situation of correct set and the situation at poor form as described above.
In these cases, can be in conjunction with the situation of the user of sphygomanometer 1 and preference pattern can further improve availability.
Will be understood that embodiment of the present disclosure is in the illustrations of whole points and unrestricted.Scope of the present invention also be can't help above-mentioned explanation and is represented, but is represented by claims, is intended to be included in and the meaning of claims equalization and the whole changes in the scope.
The explanation of Reference numeral
1 electric sphygmomanometer
10 main parts
20 cufves
21 air bags
30 air systems
31 air hoses
32 pressure transducers
33 oscillating circuits
40 display parts
41 operating portions
41A measures switch
The 41B configuration switch
41C ID switch
The 41D storage switch
42 storage parts
43 flash memories
44 power supplys
45 timing portions
46 data input and output portions
50 guiding mechanisms
51 pumps
52 valves
53 pump drive circuits
54 valve-driving circuits
60 angular transducers
61 A/D converters
62 buzzers
63 illuminating parts
100?CPU
102 location determination portions
104 notifier processes portions
106 time detection units
108 measure control part
110 output control parts
132 storage mediums
300 determined people
301 cardiac positions
601,602 acceleration of gravity pick offs.
Claims (7)
1. an electric sphygmomanometer is characterized in that,
Have:
Cuff (20), it is used to be wound on the mensuration position of regulation,
Pressure transducer (32), it is used to detect the cuff pressure signal of the pressure in the described cuff of expression,
Angular transducer (60), it is used to detect the angle of described cuff with respect to the reference direction of regulation,
Location determination portion (102), it is according to from the output information of described angular transducer, judges described determination part bit position whether in suitable scope,
Notice portion (62,63), whether it is used to notify described determination part bit position in described suitable scope,
Time detection unit (106), it is used to judge the very first time whether more than first fiducial time, the described very first time is represented the time of described determination part bit position in described suitable scope, and
Measure control part (106), it is used to carry out following control: will be judged to be the described very first time more than described first fiducial time as first opportunity, press signal to come blood pressure is measured according to described cuff;
Described time detection unit further judged for second time whether more than second fiducial time longer than described first fiducial time, and the described determination part bit position of described second time representation is in the described suitable extraneous time;
Described mensuration control part will be judged to be described second time to begin to measure as second opportunity more than described second fiducial time;
When the measurement result of the described mensuration control part of output, whether described notice portion is further corresponding with described measurement result notifies described determination part bit position in described suitable scope relatedly.
2. according to the electric sphygmomanometer of claim 1 record, it is characterized in that when variation had taken place the result of determination of described location determination portion, described time detection unit was to just the time in timing is carried out initialization.
3. according to the electric sphygmomanometer of claim 1 record, it is characterized in that, also have storage part (43), this storage part (43) is used for whether the location identification data in described suitable scope and described measurement result are set up corresponding relation and stored with the described determination part bit position of expression.
4. according to the electric sphygmomanometer of claim 3 record, it is characterized in that described storage part is set up corresponding relation with described measurement result and described location identification data with the personal identification data (PID) that is used to discern person to be measured and stored.
5. according to the electric sphygmomanometer of claim 1 record, it is characterized in that,
Described time detection unit is further measured from the user and has been imported the elapsed time of the indication of measuring beginning whether more than three fiducial time longer than described second fiducial time;
Described mensuration control part further will be judged to be the described elapsed time to begin to measure as the 3rd opportunity more than described the 3rd fiducial time.
6. according to the electric sphygmomanometer of claim 1 record, it is characterized in that,
Described notice portion comprises illuminating part (63), and this illuminating part (63) is used to send the light of first and second color;
Described electric sphygmomanometer also has notifier processes portion (104), whether this notifier processes portion (104) is in order to notify described determination part bit position in described suitable scope, under the situation of described determination part bit position in described suitable scope, make described illuminating part send the light of described first color, under described suitable extraneous situation, make described illuminating part send the light of described second color at described determination part bit position.
7. according to the electric sphygmomanometer of claim 1 record, it is characterized in that,
Described notice portion comprises display part (40), and this display part (40) is used to show described measurement result;
Described electric sphygmomanometer also has notifier processes portion (104), whether this notifier processes portion (104) in order to notify described determination part bit position in described suitable scope, with the described determination part bit position of expression whether the information in described suitable scope be presented on the described display part.
Applications Claiming Priority (3)
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JP2008312157A JP5200903B2 (en) | 2008-12-08 | 2008-12-08 | Electronic blood pressure monitor |
JP2008-312157 | 2008-12-08 | ||
PCT/JP2009/070092 WO2010067723A1 (en) | 2008-12-08 | 2009-11-30 | Electronic blood pressure monitor |
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CN102245087B CN102245087B (en) | 2013-10-16 |
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US (1) | US8684941B2 (en) |
JP (1) | JP5200903B2 (en) |
CN (1) | CN102245087B (en) |
DE (1) | DE112009003646B4 (en) |
RU (1) | RU2517376C2 (en) |
WO (1) | WO2010067723A1 (en) |
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Also Published As
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DE112009003646B4 (en) | 2023-06-29 |
JP5200903B2 (en) | 2013-06-05 |
JP2010131305A (en) | 2010-06-17 |
DE112009003646T5 (en) | 2012-10-11 |
US8684941B2 (en) | 2014-04-01 |
RU2517376C2 (en) | 2014-05-27 |
CN102245087B (en) | 2013-10-16 |
WO2010067723A1 (en) | 2010-06-17 |
RU2011128005A (en) | 2013-01-20 |
US20110237963A1 (en) | 2011-09-29 |
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